| NPI | 1700390069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE ESPIGUL Administrator 813-598-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12634) |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |